Individual
BRYAN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
CVS - FAITH PLAZA, ROUTE 9W, RAVENA, NY 12143
(518) 756-3157
Mailing address
245 KRUMKILL RD, SLINGERLANDS, NY 12159-9318
(518) 788-4411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063153
NY
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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